بررسي بيماريهاي رواني توام با اعتياد در 200 مورد از مراجعه كنندگان به مركز معتادان خود معرف بهزيستي تبريز

A STUDY OF COMORBIDITY OF SUBSTANCE ABUSE AND PSYCHIATRIC DISORDERS IN SELF-REFERRED ADDICTS TO TABRIZ WELFARE CENTRE

Background and Objectives: It is quite difficult to calculate the effect of illegal substance use on society. The effects are various and widespread and its cost to society is very high. Substance abuse appears to be one of the most serious psycho-social problems of urban communities. Most of the substance abusers have an additional diagnosis which influences in etiology, course and outcome of the disorder. This study was carried out to evaluate the comorbidity of opioid dependency and other psychiatric Axis I and Axis II disorders. Materials and Methods: A total of two hundred self referred addicts to Tabriz Welfare Center were selected randomly. Data collection instruments included an interview based on DSM IV criteria and a demographical assessment questionnaire. Results: The most frequent opioid abusers were in the age group of 25-34 years. In 80 percent of subjects the most frequently used substance was opium. Findings showed that 90 percent of all addicts met the DSM IV criteria for a psychiatric disorder in addition to opioid dependency. The most common disorder of Axis I were dysthymia (67%) and anxiety disorders (36%). Antisocial personality disorder (41%) was the most common disorder in Axis II.